Individual
ANNE DOMINIQUE BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 263-6414
Mailing address
136 HOMESTEAD PL, BOGOTA, NJ 07603-1005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
07/24/2020
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